Ankylosing spondylitis MedDRA version: 18.1 Level: PT Classification code 10002556 Term: Ankylosing spondylitis System Organ Class: 10028395 - Musculoskeletal and connective tissue disorders
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Moderate to severe AS - Prior radiographic evidence according to the Modified NY Criteria (1984) - Inadequate response to NSDAIDs Other protocol-defined inclusion criteria may apply Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 220 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 2
Exclusion criteria
Exclusion criteria: - Pregnancy or lactation - Ongoing infectious or malignant process on a chest X-ray or MRI - Previous exposure to IL-17 or IL-17R targeting therapies - Previous exposure to any biological immunomodulating agent excluding TNF antagonists - Previous cell depleting therapy Other protocol-defined exclusion critera may apply
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To demonstrate that the efficacy of at least one dose of secukinumab at Week 16 is superior to placebo based on the proportion of subjects achieving an ASAS 20 (Assessment of SpondyloArthritis International Society criteria) response in subjects with active AS despite current or previous NSAID, DMARD and/or anti-TNF alpha therapy.;Secondary Objective: -To demonstrate that the efficacy of at least one dose of secukinumab at Week 16 is superior to placebo based on: 1- the proportion of subjects achieving an ASAS 40 response 2- the change from baseline of hsCRP 3- the proportion of patients meeting the ASAS 5/6 response criteria 4- the change from baseline in total BASDAI 5- the change from baseline in the proportion of patients achieving ASAS partial remission -To assess PFS usability utilizing the Self-Injection assessment checklist and Possible Hazard assessment checklist and to assess subject satisfaction with PFS utilizing the SIAQ -Overall safety and tolerability of secukinumab LiV and PFS formulations compared to placebo as assessed by vital signs, clinical laboratory values and adverse events monitoring;Primary end point(s): Assessment of Spondyloarthritis International Society criteria / ASAS 20 response;Timepoint(s) of evaluation of this end point: 16 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1- ASAS 40 response 2- Serum hsCRP 3- ASAS 5/6 response 4- Bath Ankylosing Spondylitis Disease Activity Index / BASDAI 5- Pre-filled syringe usability, possible hazard and patient satisfaction assessment 6- Overall safety and tolerability;Timepoint(s) of evaluation of this end point: 1 to 4: 16 weeks 5: Baseline to Week 16 6: 156 weeks | — |
Countries
Belgium, Czech Republic, Germany, Greece, Mexico, Norway, Portugal, Russian Federation, Spain, United Kingdom, United States
Contacts
Novartis Pharma GmbH